PDF(Pubmed)
Abstract：
This comprehensive review delves into the intricate dynamics of cerebral perfusion and blood pressure management within the context of neurosurgical and endovascular aneurysm interventions. The review highlights the critical role of maintaining a delicate hemodynamic balance, given the brain\'s susceptibility to fluctuations in blood pressure. Emphasizing the regulatory mechanisms of cerebral perfusion, particularly autoregulation, the study advocates for a nuanced and personalized approach to blood pressure control. Key findings underscore the significance of adhering to tailored blood pressure targets to mitigate the risks of ischemic and hemorrhagic complications in both neurosurgical and endovascular procedures. The implications for clinical practice are profound, calling for heightened awareness and precision in hemodynamic management. The review concludes with recommendations for future research, urging exploration into optimal blood pressure targets, advancements in monitoring technologies, investigations into long-term outcomes, and the development of personalized approaches. By consolidating current knowledge and charting a path for future investigations, this review aims to contribute to the continual enhancement of patient outcomes in the dynamic field of neurovascular interventions.
摘要：
这篇全面的综述在神经外科和血管内动脉瘤介入治疗的背景下，探讨了脑灌注和血压管理的复杂动态。该综述强调了维持微妙的血液动力学平衡的关键作用，考虑到大脑对血压波动的敏感性。强调脑灌注的调节机制，特别是自动调节，该研究提倡采用细微差别和个性化的血压控制方法。关键发现强调了在神经外科和血管内手术中坚持定制的血压目标以减轻缺血性和出血性并发症风险的重要性。对临床实践的影响是深远的，呼吁提高血液动力学管理的意识和精确度。这篇综述最后提出了对未来研究的建议，敦促探索最佳血压目标，监测技术的进步，对长期结果的调查，以及个性化方法的发展。通过巩固当前的知识并为未来的调查指明道路，这篇综述旨在帮助在动态的神经血管介入治疗领域持续提高患者的治疗效果.
